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. 2018 Jun 4;12(3):476–483. doi: 10.4184/asj.2018.12.3.476

Table 2.

Disc degeneration grade based on Pfirrmann classification and facet degeneration grade based on Grogan classification

Grade Disc degeneration grade based on Pfirrmann classification
Facet degeneration grade based on Grogan classification
Disc structure Distinction between nucleus and annulus Signal intensity of disc Disc height Facet osteophyte Facet cartilage Facet subchondral sclerosis
I Homogenous, white Clear Hyperintense, isointense to CSF Normal No osteophyte Uniform thin band of cortical bone Uniformly thick
II In homogeneous, ±horizontal bands Clear Hyperintense, isointense to CSF Normal Possible or small osteophyte Thin band of cortical bone that extended into the space from the articular surface Eroded or irregular
III Inhomogeneous, gray Unclear Intermediate Normal to slightly decreased Definite and moderate osteophyte Dense bone that extended into the joint space but covered less than half the facet Incompletely covering
IV Inhomogeneous, gray to black Lost Intermediate to hypointense Normal to slightly decreased Large osteophyte Covered greater than half the facet joint Complete absence of cartilage
V Inhomogeneous, black Lost Hypointense Collapsed - - -

CSF, cerebrospinal fluid.